NPI: 1619958428 · CEDAR RAPIDS, IA 52404 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,415 | $302K |
| 2019 | 8,105 | $259K |
| 2020 | 4,487 | $169K |
| 2021 | 5,406 | $205K |
| 2022 | 5,292 | $194K |
| 2023 | 3,879 | $136K |
| 2024 | 2,758 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 7,257 | 2,593 | $298K | |
| S0621 | Routine ophthalmological exa | 2,903 | 2,851 | $268K |
| 92014 | 2,676 | 2,631 | $175K | |
| V2020 | Vision svcs frames purchases | 6,904 | 6,683 | $174K |
| 92004 | 1,399 | 1,375 | $127K | |
| S0620 | Routine ophthalmological exa | 1,409 | 1,397 | $79K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,888 | 2,821 | $70K |
| 99214 | 1,108 | 887 | $67K | |
| V2100 | Lens spher single plano 4.00 | 1,808 | 1,758 | $42K |
| 92250 | 1,035 | 941 | $22K | |
| V2784 | Lens polycarb or equal | 3,831 | 3,723 | $15K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 283 | 279 | $10K |
| V2756 | Eye glass case | 5,431 | 5,293 | $6K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 90 | 89 | $2K |
| 92134 | 14 | 12 | $483.84 | |
| 92015 | 306 | 299 | $15.05 |